ANDREW K. FULLER MD
NPI 1972130680
Internal Medicine - Gastroenterology in Los Angeles, CA
About Andrew K. Fuller Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW K. FULLER MD (NPI 1972130680) is an individual gastroenterology provider in Los Angeles, California, licensed in California (A205150) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of University Of Utah School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Andrew K. Fuller Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Andrew Fuller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90033
- Reassigned Medicare billing, California enrollment
- 2,445 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Utah Hospitals And Clinics
Acute Care Hospitals · Salt Lake City, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Andrew Fuller's NPI number?
The NPI number for Andrew Fuller is 1972130680. It was assigned to this individual provider in the NPPES registry on March 24, 2020.
Where is Andrew Fuller located?
Andrew Fuller practices at 1520 San Pablo St Ste 1000, Los Angeles, CA 90033. The listed phone number is (323) 442-5100.
What is Andrew Fuller's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Andrew Fuller enrolled in Medicare?
Yes. Andrew Fuller is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Andrew Fuller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Fuller reassigns Medicare benefits to Usc Care Medical Group, Inc (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Andrew Fuller affiliated with any hospitals?
According to CMS data, Andrew Fuller is affiliated with University Of Utah Hospitals And Clinics.
When was this NPI record last updated?
The NPPES record for Andrew Fuller was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Andrew K. Fuller, MD · NPI 1972130680
Gastroenterology physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 24, 2020.
## Identity
- **NPI:** 1972130680 (Entity type: Individual)
- **Enumerated:** March 24, 2020
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** A205150 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1520 SAN PABLO ST STE 1000, Los Angeles, CA 90033-5312
- **Phone:** (323) 442-5100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Usc Care Medical Group, Inc (NPI 1902846306, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Utah School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** July 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1972130680) · Data from the CMS NPPES public registry.